Evidence map›Paper›PMID 24522247›Full record

Trial reportLeukemia research2014

A phase II study of the EGFR inhibitor gefitinib in patients with acute myeloid leukemia.

Daniel J Deangelo, Donna Neuberg, Philip C Amrein, Jacob Berchuck, Martha Wadleigh, L Andres Sirulnik, Ilene Galinsky, Todd Golub, Kimberly Stegmaier, Richard M Stone

Open access · greenAbstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Leukemia research, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.4field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 23 citations in OpenAlex.

  1. Review
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  3. Review
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  6. Review
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  8. Article
  9. The Prognostic Impact of Epidermal Growth Factor Receptor (EGFR) in Patients with Acute Myeloid Leukaemia.Indian journal of hematology & blood transfusion : an official journal of Indian Society of Hematology and Blood Transfusion · 2020
    Article
  10. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 1 country.

Daniel J DeangeloDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA. Electronic address: daniel_deangelo@dfci.harvard.edu.
Donna NeubergDepartment of Biostatistics and Computational Biology, Dana-Farber Cancer Institute, Boston, MA, USA.
Philip C AmreinMassachusetts General Hospital, Boston, MA, USA.
Jacob BerchuckDepartment of Pediatric Oncology, Dana-Farber Cancer Institute, and the Division of Hematology/Oncology, Children's Hospital Boston, Boston, MA, USA.
Martha WadleighDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
L Andres SirulnikDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Ilene GalinskyDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Todd GolubDepartment of Pediatric Oncology, Dana-Farber Cancer Institute, and the Division of Hematology/Oncology, Children's Hospital Boston, Boston, MA, USA; Broad Institute of Harvard and Massachusetts Institute of Technology, Cambridge, MA, USA.
Kimberly StegmaierDepartment of Pediatric Oncology, Dana-Farber Cancer Institute, and the Division of Hematology/Oncology, Children's Hospital Boston, Boston, MA, USA; Broad Institute of Harvard and Massachusetts Institute of Technology, Cambridge, MA, USA.
Richard M StoneDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Dana-Farber Cancer Institute · USBroad Institute · USMassachusetts General Hospital · US

Funding

Validating Syk as a Target for AML TherapyR01CA140292 · NCI · DANA-FARBER CANCER INST · PI STEGMAIER, KIMBERLY · 2009 to 2015
$2.5M
NCI NIH HHS NCIR01 CA140292NCI NIH HHS R01 CA140292
6 · The paper itself

Abstract

Novel therapies for the treatment of acute myeloid leukemia are required to overcome disease resistance and to provide potentially less toxic therapies for older adults. Prior clinical trials involving patients with non-small cell lung cancer have demonstrated the safety and biologic activity of the administration of EGFR inhibitors in carefully selected patients. The potential efficacy of this approach in patients with acute myeloid leukemia is unknown. The effects of gefitinib on differentiation induction and cell viability in AML cell lines and primary patient AML cells were previously reported and cell viability was inhibited in a clinically achievable range. To determine if EGFR inhibitors would be therapeutically efficacious in advanced AML, we performed a phase II trial in which 18 patients with a median age of 72 (range, 57-84 years) were treated with gefitinib (750mg orally daily). While there were no unexpected toxicities, no patients experienced an objective response, though one had stable disease lasting 16 months. We conclude that in spite of pre-clinical activity and anecdotal cases of response to EGFR inhibitors, routine use of the EGFR inhibitor gefitinib as a single agent for advanced AML is not appropriate.

Indexed as

AgedAged, 80 and overAntineoplastic AgentsDrug-Related Side Effects and Adverse ReactionsErbB ReceptorsFemaleGefitinibHumansLeukemia, Myeloid, AcuteMaleMiddle AgedQuinazolinesTreatment FailureAntineoplastic AgentsErbB ReceptorsGefitinibQuinazolinesChemotherapyEGFRGefitinibLeukemia

Identifiers

PMID24522247
PMCPMC4860003
OpenAlexW2069394007

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.